Manager, Special Investigations – Recovery

Skyward Specialty Insurance

Manager overseeing fraud detection, subrogation, and recovery functions for an innovative specialty insurance company. Collaborating with adjusters and vendors to optimize fraud detection processes.

Posted 6/5/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $100,000 - $120,000 per yearWebsite

About the role

Key responsibilities & impact

Overseeing the company’s fraud detection, subrogation, and recovery functions
Coordinating all potential fraud investigations and ensuring compliance with state-level SIU reporting requirements
Using traditional and AI-based fraud detection indicators and other investigative tools
Partnering with adjusters and claims managers to evaluate concerns, determine appropriate investigative strategies, and assign cases to third-party vendors
Reviewing and interpreting claims data and data from third-party vendors to make recommendations for improvements in investigations, processes and outcomes
Using ISO data and predictive models to proactively conduct and/or facilitate additional investigation on claims
Assigning investigative fieldwork to third-party vendors and overseeing vendor performance, quality, and compliance
Completing and/or contributing state-level SIU statistical reporting functions in conjunction with compliance department personnel
Providing consultative support to claims staff regarding fraud detection, subrogation, and recovery opportunities
Reviewing vendor investigative findings and preparing or validating reports summarizing conclusions and recommendations
Coordinating with legal, compliance, underwriting, and law enforcement/regulatory agencies when necessary
Developing and facilitating training and awareness initiatives to strengthen fraud prevention capabilities across the claims team
Seeking out new vendors with insightful data sources and technology solutions that help identify fraud or questionable claim indicators
Performing other duties as assigned.

Requirements

What you’ll need

10+ years of commercial insurance claims experience, including direct handling of litigation caseloads
3+ years of leadership experience preferred
Strong background in claims handling, fraud detection, and subrogation with proven ability to evaluate complex claims
Strong knowledge of Claims investigation laws and regulations
Bachelor's degree (or equivalent experience)
Demonstrated proficiency in current fraud analytics, technology and investigative tools (e.g., ISO, Carpe Data, or similar)
Knowledge of SIU regulatory requirements and state-level statistical reporting obligations
Experience managing or coordinating third-party investigative vendors
Excellent analytical, critical thinking, and problem-solving skills
Strong communication and collaboration skills, including ability to influence decision-making across claims teams.

Benefits

Comp & perks

health and welfare benefits
tuition and professional certification assistance
401k savings
elective participation in the Employee Stock Purchase Program
paid time off
paid holidays
child bonding leave
other employee assistance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

fraud detectionsubrogationclaims handlingclaims investigation lawsfraud analyticsISOCarpe Datastatistical reportinginvestigative strategiespredictive models

Soft Skills

analytical skillscritical thinkingproblem-solving skillscommunication skillscollaboration skillsinfluence decision-makingleadershipconsultative supporttraining and awareness initiativesvendor management